Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $29.19 / $131.66	Facility		$15.53	$29.19	$131.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $30.31 / $56.21	Professional		$17.30	$30.31	$56.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $32.75 / $48.10	Professional		$19.93	$32.75	$48.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $29.90 / $49.12 / $72.15	Professional	50	$29.90	$49.12	$72.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $23.65 / $29.56	Facility		$16.73	$23.65	$29.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $23.81 / $40.86	Professional		$18.57	$23.81	$40.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $60.55	Facility		$31.08	$31.08	$60.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $45.74 / $87.56	Professional		$23.96	$45.74	$87.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.65 / $32.34 / $34.50	Professional		$17.65	$32.34	$34.50
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $52.70 / $73.19	Professional		$29.18	$52.70	$73.19